Please provide the information below to help Great Plains mortgage better assist you. Loan and Property     Amount Of Loan Loan Type Amortization Term Non-Conforming VA Conforming 30 Year (360 months) 10 Year (120 months) 15 Year (180 months) 20 Year (240 months) 25 Year (300 months)     Lien Priority Plan Type Interest Rate Balloon Term     First Lien Second Lien Fixed Rate GPM ARM Select 6.000% 6.125% 6.250% 6.375% 6.500% 6.625% 6.750% 6.875% 7.000% 7.125% 7.250% 7.375% 7.500% 7.625% 7.750% 7.875% 8.000% 8.125% 8.250% 8.375% 8.500% 8.625% 8.750% 8.875% 9.000% 9.125% 9.250% 9.375% 9.500% 9.625% 9.750% 9.875% 10.000% 10.125% 10.250% 10.375% 10.500% 10.625% 10.750% 10.875% 11.000% NA 5 Years 7 Years     Street Address City State Zip     Select AL AR AS AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY     Unit (s) Year Built County Name Building Status   One Two Three Four Existing New, Never Occupied Under Construction Future Construction Loan Purpose Occupancy Property Type Purchase Refinance Construction to Perm Pay Off Existing Loan Personal Business Opportunity Education Home Improvement Other Owner Occupancy Non Owner Occupancy Primary Residence Secondary Residence Investment Property Property Rights Cash Out Refi 2nd Trust Rolled In   Fee Simple Leasehold No Yes No Yes       Borrower     Borrower Last Name Borrower First Name SS Number Age         Current Street Address City         State Zip How Long                 If you live at your current address less than 2 years, please complete the previous address information   Previous Street Address City         State Zip How Long                   Self Employed Bankruptcy Foreclosure Race Gender       Yes No No Yes No Yes Decline to Give Asian Black Hispanic Native American White Other Male Female       Co-Borrower     Co-Borrower Last Name Co-Borrower First Name SS Number Age         Current Street Address City         State Zip How Long                 If you live at your current address less than 2 years, please complete the previous address information   Previous Street Address City         State Zip How Long                   Self Employed Bankruptcy Foreclosure Race Gender       Yes No No Yes No Yes Decline to Give Asian Black Hispanic Native American White Other Male Female       Income and Expense     Total Monthly Income Total Monthly Debt (excluding housing) Current Housing Expense           Home Purchase and Refinance     Purchase Price/ Estimated Value Downpayment 2nd Finance Amount         Gift Funds Financing Concessions Sales Concessions         Cash or Equivalent to Close                       Contact Information     Before submitting the loan application, please provide your e-mail address, phone number and Loan Officer (if available) below.   Email Address Telephone Number Loan Officer     None Darron Arnold Janiss Byrum Patrick Campbell Janene Davis Melanie Dover Gay Enzbrenner-Owasso Mike Henderson Kelly Highland Kevin Highland Ann Jones Nicole Kee Peggy Mauldin-OKC Dane Maudlin-OKC Thom Mericle Victoria Perry Carol Phillips Richard Shanahan George Warren - Stillwater Michelle Wood     Contact Time Time Period How did you hear about us?     Morning Afternoon Evening ASAP 1 Week 2 Weeks 30 Days Please Select Yellow Pages Newspaper Realtor Referral Internet Other Employee       Credit Authorization and Submission     Permission given to order a credit report. Please Select Yes No